David Stanley

@as9foundation @OfficialECFC Now THAT’S a t-shirt that would be a good fundraiser for the foundation one day…

Christmas Day #ConsultantsStrike #BMA Check out my ride on Strava. strava.app.link/F9espVa6zBb

@bbctms There was an English batsmen Ben Duckett, he definitely wasn’t from Nantucket, when on 98, he should have played straight, but instead walked back to the pavilion shouting…oh gosh 😬

@davidantibiotic Good attempt to answer important question. But we need a group to do this again but using levels to guide dosing in the infusion group. We know from our own audit that patients with reasonable cardiac output & preserved renal function struggle to get levels above MIC @RHH_ICU

Continuous infusion Meropenem did not improve outcome in Critically Ill Patients With Sepsis - double blind RCT jamanetwork.com/journals/jama/…

@TheBMA I know none of this will truly compensate for the huge amount of time @goldstone_tony has spent on all our behalf’s, but the least you could do is give him life BMA membership at no cost to him. Also, the highest award for non-clinical work you can bestow.

@KaiserSnooze @goldstone_tony @FT @Jeremy_Hunt @PJTheEconomist You miss the fundamental problem with a defined benefit scheme. We CAN’T choose how much ‘goes in’ as public sector workers. We cant put any more in. Rules are universal for everyone. Yes - private pensions can load up to £60K a year - if want to retire earlier than planned.

@goldstone_tony @FT @Jeremy_Hunt This looks like good news but as @PJTheEconomist says could some doctors retire even earlier because they can put more money in & decide to leave before a future Government brings LTA back. Also, will it apply to private pensions & bigwigs outside NHS with massive pension pots?

1/ BREAKING - #Budget2023 🧵 is now live Chancellor @Jeremy_Hunt is on his feet and starting to give his speech. I'll be tweeting live on anything related to NHS pensions in particular (& lots of changes expected so pay attention!) Read to the end, & RT once you have!

@goldstone_tony @FT @Jeremy_Hunt Thanks & well done Tony. Personally, I have very mixed feelings - as many will have depending on their own individual circumstances. For me LA not an issue but the brown envelope arriving in the autumn for my AA breach this year (22/23) is going to be horrible.

17/ Today’s announcements are probably the most significant changes since I wrote this @FT letter in 2019. They will take many NHS staff out of AA, LTA is in the bin, but tapering still remains & so does AA. But definitely a lot to be thankful for, so thankyou @Jeremy_Hunt

@drtimmeek @goldstone_tony @DailyMailUK Does ‘keeping his word’ have a best before date because if it is it’s running out? When Chair of Health Select Committee (last summer) he said fixing doctors pension issue was in the top 5 priorities for NHS. Done nothing of meaning about it since being Chancellor.

1/ Always a little scepitcal about these pre-budget "testing the market" announcements so posting this from @DailyMailUK without too much in the way of commentary

2/2 "NHS leaders urge the chancellor @Jeremy_Hunt to act decisively to resolve this long-standing area of concern for the NHS and in particular, our senior doctors." Quote@ @HSJnews RT if you agree @hmtreasury need to *FINALLY* sort this issue out hsj.co.uk/workforce/part…

@rbarbosa91 2/2 in with the inner tube in it meant that the poor patient would have to wean through a 5.5 mm diameter. Hard for anyone, let alone someone recovering from critical illness & respiratory muscle weakness. The alternative was to take the inner tube out & risk the tube occluding.

Short 🧵(for people going into critical care) regarding when a tracheostomy tube is the same 'size' as its endotracheal tube counterpart, and when it is not. Warning: minutiae follows here...if you're not into critical care, get out now. (1/ )

@rbarbosa91 1/2. This is an issue that has serious implications for patients & is poorly understood & under recognised. We @RHH_ICU switched from Portex/Smiths to Tracoe because their quoted ID is that with the inner tube IN. With our previous tubes if the patient had a size 7 tracheostomy..

@O2 Why are you the only major mobile network using discredited RPI as basis for your mid-contract tariff rises? All others use CPI which just happens to be 3.7% less 🤷‍♂️ I know your Chief Commercial Officer is a Mr Turpin but I thought highway robbery was a thing of the past.

@bryansgunn @TheFootballPink I’d say you were in the ‘final third’.

@TheFootballPink I think we’re at the business end of this series now

The question I have is simply: When does @bryansgunn run out of phrases? Seems like he’s got a dictionary full!

The FT not the BMA published this. How can this salary assault on NHS and Education staff be justified. And how long do the professionals endure, in sacrifice for their guardianship of patients and children. Think how manipulative & morally horrific this regime is.

@andrewjdowns @BMA_Consultants @andrewjdowns I received the email at 1000 this morning.

@BMA_Consultants Hi @bma_consultants , I didn’t receive any email communication about this. All my communication preferences are set to “on”, and it didn’t go to my spam folder. Online chat via your website earlier, but your representative didn’t know why no email received 🤷‍♂️

Government refuses to engage with us on meaningful solutions to pay, pensions and the DDRB, and instead is walking blindly into one of the biggest staffing crises the NHS has ever seen. Our consultative ballot on consultant strike action opens 10 February bma.org.uk/consultantspay…

@simon_carvell Thanks Simon for the thought. My consolation is that there is plenty of time for you to bottle it even more than you did last season 😉

@stanloid Try and take consolation in an Argyle win to go clear at the top again!!!

🤩 Wanderers take all three points 👊 ⚪️ 2-0 ⚫️ [FT'] #BWFC 🐘🏰

@StourbridgeFC But Hagley’s a village not a town 😉

And as for you Jude, you’ve done both your town and your nation proud ❤️🤍 #HesOneOfOurOwn

youtu.be/-Nw0dTRHzDI what3words - for precise locations...